DIABETIC FOOT WITH NECROTISING FASCIITIS IN A 31 YEAR OLD DIABETIC FEMALE - A CASE REPORT.

Abstract

INTRODUCTION Diabetic foot can be dened as an infection involving the foot due to chronic or acute injury to the soft tissues of the foot with evidence of pre existing sensory neuropathy, micro vasculopathy and immunodeciency. Angiopathy and neuropathy are relatively common complications of diabetes mellitus (DM), causing diabetic foot, which brings enormous social and economic pressure to the patients. Diabetic foot ulcers combined with necrotizing fasciitis has rapid onset, involves a wide range of lesions. Necrotizing fasciitis is a rapidly progressive life-threatening infection. The risk factors for necrotizing fasciitis are diabetes, immunosuppression, hypertension, chronic renal failure. It causes systemic toxemia, septic shock and multiple organ dysfunctions increasing the mortality rate to 15% to 35%.